Most Relevant Information
Provider Data
| NPI Number: | 1003317561 |
| Provider Name: | TRACY LYNN STARR |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 220771 |
Most Important Dates
| Enumeration Date: | 02/21/2018 |
| Last Updated: | 02/21/2018 |
Provider Practice Location
608 E 21ST ST
CISCO
TX
764375204
Practice Location Phone/Fax
| Phone: | 2546317417 |
| Fax: |
Provider Mailing Location
608 E 21ST ST
CISCO
TX
764375204
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |